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PLATINUM PHARMACY LLC
NPI 1003391491
Pharmacy - Community/Retail Pharmacy in Fayetteville, GA

Active since October 01, 2018
935 LANIER AVE W STE 1008, FAYETTEVILLE, GA 30214(404) 902-5811(678) 519-3115 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Oct 1, 2018 (2 updates tracked since 2018).

About Platinum Pharmacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLATINUM PHARMACY LLC (NPI 1003391491), doing business as Platinum Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Fayetteville, Georgia and active in the NPI registry since October 2018. The organization lists Samuel Obichi, Owner, as its authorized official.

NPPES Registry Identity

NPI1003391491
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePLATINUM PHARMACY LLC
Location Address935 LANIER AVE W STE 1008Fayetteville, GA 30214-7434
Mailing Address935 Lanier Ave W Ste 1008Fayetteville, GA 30214-7434 · (404) 902-5811 · Fax (678) 519-3115
Phone(404) 902-5811
Fax(678) 519-3115
Organization SubpartNo
Authorized OfficialSamuel ObichiOwner · (404) 822-4505
Enumeration DateOctober 1, 2018
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1003391491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
935 LANIER AVE W STE 1008, Fayetteville, GA 30214
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Other Names 1

Doing Business AsPlatinum Pharmacy

Other Identifiers 1

Medicaid003212737AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PLATINUM HEALTHCARE SERVICES
Skilled Nursing Facility
935 LANIER AVE W STE 1008
FAYETTEVILLE, GA 30214
Fayette County (404) 902-5811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Platinum Pharmacy LLC's NPI number?

The NPI number for Platinum Pharmacy LLC is 1003391491. It was assigned to this organization in the NPPES registry on October 1, 2018. The provider is doing business as Platinum Pharmacy.

Where is Platinum Pharmacy LLC located?

Platinum Pharmacy LLC is located at 935 Lanier Ave W Ste 1008, Fayetteville, GA 30214. The listed phone number is (404) 902-5811.

What is Platinum Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Platinum Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Platinum Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Platinum Pharmacy LLC was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.